Organization
ASTORIA MODERN FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES R GELFAND DDS (MANAGING MEMBER)
(718) 721-4700
Entity
Organization
Contact information
Practice address
3156 STEINWAY ST, ASTORIA, NY 11103-3909
(718) 721-4700
(718) 204-5641
Mailing address
3156 STEINWAY ST, ASTORIA, NY 11103-3909
(718) 721-4700
(718) 204-5641
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02744310
—
NY
Enumeration date
02/13/2007
Last updated
08/22/2020
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